Address......................................................
Post Code...................................................
Telephone....................................................
Mobile Phone...............................................
email............................................................
Please reserve for me
Holiday Home Type.....................................
Weekly for weeks from Saturday (date of arrival) to Saturday (date of departure)
Break for nights from (date of arrival) to (date of departure)
Approx time of arrival if after 5.00pm
Number of Adults Number of Children
If you prefer not to be included on our mailing list tick here
Please tick the boxes if you wish us to provide: Free Travel Cot Free High Chair Free Bed Rail Removal of Single Bed
Bed Linen: Please say how many Single sets Double sets Towels: Please say how many sets
Any other requirements..................................
Rate: .............................................................. 1st Week
...................................................................... 2nd Week
......................................................................... Sub total
.................................................... Discount (if applicable)
.............. ....................................................Extra Persons
............................................................................... Dogs
.......................................................... Second Car/Trailer
........................................................ Bed Linen & Towels
............................................................................... Other
........................................................................... TOTAL
.......................................... 25% Deposit (at least £50.00)
.............................................................. Amount enclosed
Please make cheques payable to Pendeilo Leisure Park